- Lisbon, Portugal General Information New breast cancer cases treated per year 600 Breast multidisciplinarity team members 17 Radiologists, surgeons, pathologists, medical oncologists, radiotherapists and nurses Clinical Director: Fatima Cardoso, MD The Champalimaud Breast Unit was launched in 2011 under the Direction of Dr. Fatima Cardoso and is now working at full speed. Multidisciplinary meetings are held every week for treatment decisions, and consultations are shared between specialties whenever necessary. In the multidisciplinary meetings, besides the members of the Breast Unit, which includes medical oncologists, breast surgeons, plastic surgeons, radiotherapists, radiologists, pathologists and specialised nurses, we count also on the participation of nuclear medicine specialists, psycho-oncologists, nutritionists, geneticists and palliative care specialists. Our team is fully committed to providing the best possible outcome as well as the best quality of life and quality of care. We believe that major improvements come through high quality clinical and translational research, as well as high quality health care which follows international guidelines. Therefore, all treatments and second opinions are based on proven concepts, and several clinical trials are underway at the Breast Unit. We firmly believe that working together maximises the potential of each one of us and delivers better outcomes to our patients. Avenida de Brasilia 1400-038 Lisbon, Portugal Phone: +351 210 480 048 Fax: E-mail: sofia.braganca@fundacaochampalimaud.pt Web-site: www.fchampalimaud.org 1/7
CERTIFICATION(S) ACCREDITATION(S) BCCERT - Breast Centres Certification Expiration date: 04 May 2019 This Centre has notified to be certified and, as such, been requested to upload the certification document for further information. When the certification document/s is/are provided, it is/they are made available hereafter. 2/7
Available services Reconstructive/Plastic Surgery Nuclear Medicine Rehabilitation Genetic Counselling Data Management Psycho-oncology Breast Nurses Social Workers Nutritional Counselling Survivorship Groups Sexual Health Counselling Supportive and Palliative Care Integrative Medicine Dedicated Radiologists 3 Mammograms per year 2000 Breast radiographers Screening program Verification for non-palpable breast lesions on specimen Axillary US/US-guided FNAB Available imaging equipment Mammography Ultrasound Magnetic Resonance Imaging (MRI) Available work-up imaging equipment Computer Tomography Ultrasound Magnetic Resonance Imaging (MRI) PET/CT scan Primary technique for localizing non-palpable lesions Hook-wire (or needle localization) Charcoal marking/tattooing ROLL: radio-guided occult lesion localization Available breast tissue sampling equipment Stereotactic Biopsy (Mammography guided) Core Biopsy (Tru-cut) Vacuum assisted biopsy Ultrasound-guided biopsy Fine-needle aspiration biopsy (FNAB, cytology) Core Biopsy Vacuum assisted biopsy MRI-guided biopsy Core Biopsy Vacuum assisted biopsy New operated cases per year (benign and malignant) 306 Dedicated Breast Surgeons 1 Surgeons with more than 50 surgeries per year 3 beds 10 Breast Nurse specialists 4 Outpatient surgery Intra-operative evaluation of sentinel node Reconstruction performed by Breast Surgeons Primary technique for staging the axilla Axillary lymph node dissection Sentinel lymph node biopsy: Blue dye technique Radio-tracer technique Blue dye + Radio-tracer Axillary sampling 3/7
Reconstructive/Plastic Surgery Reconstructive/Plastic surgeons 2 Immediate Reconstruction available Type of breast reconstructive surgery available Remodelling after breast-conserving surgery Reconstruction after mastectomy: Two-stage reconstruction (tissue expander followed by implant) One-stage reconstruction Autogenous tissue flap Latissimus dorsi flap Transverse rectus abdominis (TRAM) Free-flaps (free TRAM, DIEP, SIEA, gluteal, etc.) Surgery on the contralateral breast for symmetry fat grafting Dedicated Breast Pathologists 1 Available studies Cytology Haematoxylin & eosin section (H&E) Surgical specimen Sentinel node Core biopsy Frozen section (FS) Surgical specimen Sentinel node Immunohistochemistry stain (IHC) Estrogen receptors Progesterone receptors HER-2 Ki-67 Other special studies available Fluorescence in-situ Hybridization for HER-2 gene (FISH) Oncotype Dx (21-gene assay) MammaPrint (70-gene microarray) Prediction Analysis of Microarray 50-gene set (PAM 50) Parameters included in the final pathology report stage (pt and pn) Tumour size (invasive component in mm) Histologic type Tumor grade ER/PR receptor status HER-2/neu receptor status Peritumoural/Lymphovascular invasion Margin status ki67 Dedicated Breast Medical Oncologists 4 Outpatient systemic therapy 4/7
Dedicated Radiation Oncologists Available techniques after breast-conserving surgery (including experimental) Whole-Breast RT (WBRT) Partial breast irradiation (PBI): External beam PBI Interstitial brachytherapy Targeted brachytherapy (MammoSite, SAVI applicator, other devices) Intra-operative RT (IORT) Multidisciplinary Meeting (MDM) / Tumour Board (TB) Regular MDM/TB for case management discussion Twice a week Weekly Every two weeks Other Schedule Cases discussed at MDM/TB Preoperative cases Postoperative cases Specialties/services participating in MDM/TB Reconstructive/Plastic Surgery Genetic Counselling Breast Nurse Service Psycho-oncology Nuclear Medicine Further Services and Facilities Nuclear Medicine Lymphoscintigraphy Bone scan Positron Emission Tomography (PET) PET/CT scan Rehabilitation Prosthesis service Physiotherapy Lymph-oedema treatment Genetic Counselling Specialist Providing Genetic Counselling/Risk assessment service: Dedicated Clinical Geneticist Medical Oncologist Breast Surgeon General Surgeon Gynaecologist Genetic Testing available Surveillance program for high-risk women Data Management Database used for clinical information Data manager available 5/7
Contact details Clinical Director Fatima Cardoso, MD Breast Unit Director fatimacardoso@fundacaochampalimaud.pt +351 210 480 004 Celeste Alves, MD Head Breast Radiologist celeste.alves@fundacaochampalimaud.pt Eva Batista, MD Breast Radiologist eva.batista@fundacaochampalimaud.pt Maria-Antonia Vasconcelos Breast Radiologist maria.antonia.vasconcelos@fundacaochampalimaud.pt Maria Joao Cardoso, MD, PhD Head Breast Surgeon maria.joao.cardoso@fundacaochampalimaud.pt Pedro Gouveia, MD Breast Surgeon pedro.gouveia@fundacaochampalimaud.pt David Pinto, MD Breast Surgeon david.pinto@fundacaochampalimaud.pt Reconstructive Surgery Carlos Mavioso, MD Plastic Surgeon carlos.mavioso@fundacaochampalimaud.pt João Correia Anacleto, MD Plastic Surgeon joao.anacleto@fundacaochampalimaud.pt Maria Jose Brito, MD Head Breast maria.brito@fundacaochampalimaud.pt Fatima Cardoso, MD Breast Unit Director fatimacardoso@fundacaochampalimaud.pt Berta Sousa, MD Breast Oncologist berta.sousa@fundacaochampalimaud.pt Joana Ribeiro, MD Breast Oncologist joana.ribeiro@fundacaochampalimaud.pt Mauricio Chumbo, MD Medical Oncologist mauricio.chumbo@fundacaochampalimaud.pt Marco Possanzini, MD Radiation Oncologistmarco.possanzini@fundacaochampalimaud.pt 6/7
How to reach us Avenida de Brasilia 1400-038 Lisbon, Portugal Phone: +351 210 480 048 Fax: E-mail: sofia.braganca@fundacaochampalimaud.pt Web-site: www.fchampalimaud.org From airport: Take the subway red line to Alameda and switch to green line to Cais do Sodré. Take the train at Cais do Sodré to Alges train station. Walk 10 minutes along Avenida de Brasilia. By train: From Cascais, take the train and get out at Alges train station. Walk 10 minutes along Avenida de Brasilia. By bus or sub-way/underground: Bus no. 750 to Alges station. Walk 10 minutes along Avenida de Brasilia. By car: The Center is located on the west side of Lisbon. You can reach us from downtown by taking Avenida 24 de Julho and then Avenida e Brasilia, the Center is located almost next to the Belem Tower. Last modified: 08 January 2016 7/7